Tarentula. (Tarentula Hispanica.)

Spanish Tarantula. Araneideæ.

The male and female Tarentulæ used in the provings were collected by Dr. Mariano de la Paz Grælls, at the royal residence of Pardo, Spain, in the month of July, during which time the poison is stronger ; dilutions used 3, 6, 12 and 200 ; the medicine was prepared from the live spider, all its parts triturated in sugar of milk to complete dryness, and from this the alcoholic dilution.

The Mygale Cubanensis, which may be called the Cuban Tarantula, also found in South Carolina and Texas, is a larger spider of a dark-brown color, not so poisonous, and covered with more hairs than the Tarantula Hispanica. Dr. Howard had some specimens sent from Cuba, and the medicine he uses is prepared by macerating the whole spider in alcohol. We have not had a good proving of it. In the Hah. M., vol. 5, p. 8, something has been done in that direction, and some interesting facts were collected by Dr. Howard.

Provings made by Monge, del Rio, Tejero, Fejedor, Cuesta, Dubost, Perry, Ros, Iturralde, Gonzales and Chategnier, were reported by Nunez, translated by Terry, see Am. Jour. of Hom., N. S., vol. 2, p. 387.

CLINICAL AUTHORITIES.

• Insanity , Foote, N. E. M. G., vol. 11, p. 9 ; Foote, Org., vol. 2, p. 227 ; A. H. O., vol. 13, p. 525 ; Pricking in eye , Berridge, Org., vol. 2, p. 320 ; Diphtheria (16 cases), Martin, T. H. M. S. Pa., 1884, p. 64 ; Diarrhœa , Pearson, M. I., vol. 5, p. 430 ; Weakness of sphincter ani , Pearson, M. I., vol. 5, p. 430 ; Urinary difficulty , Pearson, M. I., vol. 5, p. 430 ; Gonorrhœa , Gonzales, N. A. J. H., vol. 21, p. 81 ; ---, Raue's Rec., 1874, p. 221 ; Nymphomania , Nunez, N. A. J. H., vol. 20, p. 486 ; Uterine neuralgia , Firmat, N. A. J. H., vol. 21, p. 77 ; Uterine disorder , Swan, N. Y. J. H., vol. 2, p. 406 ; Uterine disorders , Cramoisy, M. I., vol. 4, p. 421 ; Uterine disorder , Nunez, N. A. J. H., vol. 20, p. 488 ; Use in dysmenorrhœa , Bender, Hah. Mo., vol. 7, p. 503 ; Pruritus vulvæ , Swan, Raue's Rec., 1874, p. 237 ; (2 cases), Swan, Org., vol. 2, p. 446 ; Swan, N. A. J. H., vol. 21, p. 282 ; Catarrh of chest , Valdes, N. A. J. H., vol. 21, p. 79 ; Affection of heart , Sherbino, Hom. Phys. vol. 7, p. 339 ; Burning sensation in a mole on neck , Young, Med. Adv., April, 1889, p. 246 ; Irritable spine , Farrington, N. A. J. H., vol. 21, p. 87 ; Coccygodynia , Gonzales, Raue's Rec., 1874, p. 251 ; Gonzales, N. A. J. H., vol. 21, p. 79 ; Intermittent nervous affection , Brunn, N. A. J. H., vol. 20, p. 491 ; Spasms , Holcombe, Org., vol. 3, p. 91 ; Nunez, N. A. J. H., vol. 20, p. 488 ; Hystero-mania , Hendrichs, A. H. Z., vol. 106, p. 46 ; Hysteria , ---, M. I., vol. 5, p. 419 ; Epilepsy, and hysteria , Lopez, N. A. J. H., vol. 21, p. 75 ; Lopez, Raue's Rec., 1874, p. 269 ; Epileptoid , Bartlett, Hah. Mo., vol. 15, p. 167 ; Chorea (7 cases), Dewilde, Lopez, Gandy, N. A. J. H., vol. 20, pp. 486-494 ; Dewilde, N. A. J. H., vol. 20, p. 489 ; Firmat, N. A. J. H., vol. 21, p. 76 ; Valdes, N. A. J. H., vol. 21, p. 79 ; Gandy, N. A. J. H., vol. 21, p. 82 ; Terry, N. A. J. H., vol. 25, p. 309 ; Chacon, Raue's Rec., 1875, p. 251, from El. Crit. Med., Aug., 1874 ; ---, A. H. Z., vol. 78, p. 88 ; Hendrichs, A. H. Z., vol. 106, p. 46 ; Hofmann, T. H. M. S. Pa., 1880, p. 211 ; Firmat, Valdez, Gandy, Raue's Rec., 1874, p. 262 ; Gandy, Hom. Cl., vol. 3, p. 68 ; , Cramoisy, M. I., vol. 4, p. 421 ; Cramoisy, Raue's Rec., 1874, p. 270 ; , Nunez, N. A. J. H., vol. 20, p. 489 ; , Firmat, B. J. H., vol. 21, p. 85 ; , Martin, T. H. M. S. Pa., 1886, p. 94 ; , Kent, Hom. Phys., vol. 6, p. 316.

MIND [1]

Complete loss of memory.

Great taciturnity and irritability ; desire to strike himself and others.

Profound grief and anxiety.

Consciousness of unnatural state of mind, hence despondency, sadness, moral depression, disgust for everything.

Mental chorea ; hyperemia and hyperesthesia of female sexual organs.

Hysteria, with bitter belching and repeated yawning, > by lying down and by music ; restlessness of hands and legs ; constant motion, cannot remain in one place ; heat in epigastrium.

Fits of nervous laughter.

Desire to joke, to play and to laugh ; extreme gayety.

Great excitement caused by music ; one hour after it, copious and general perspiration.

Singing until hoarse and exhausted.

Nervous excitement ; hysteria and mania ; restlessness and dreaming.

Sudden foxlike destructive efforts, requiring utmost vigilance to prevent damage ; followed by laughter and apologies.

Cross, tendency to get angry and to speak abruptly ; is obliged to move limbs.

Paroxysms of insanity ; restlessness of legs ; threatening words of destruction and death.

Suddenly sprang away from her attendants and swept ornaments from mantelpiece ; said she was sorry, but could not help it ; very mischievous and destructive, amusing and cheerful ; at times pain in left ovary.

Attacks of hystero-mania appearing daily about same hour, beginning with great nervous irritability, despondency and quarrelsome mood ; sudden transition from this state to one of great exaltation, hits and abuses every one, destroys whatever she can lay hold of, tears her clothing, sings and laughs ; mocks aged people with their old age, if restrained becomes violent ; attacks end in a comatose sleep, during which she answers questions correctly ; after waking remembers but little of what has occurred ; during first part of attack pulse is slow, artery greatly contracted ; during second stage pulse frequent and full ; thirstlessness and loss of appetite ; pressure and confusion of head.

While in a highly nervous state from too close application to musical studies, was operated upon to remove lens of eye by absorption ; this was followed by great nervous depression and prostration, with occasional symptoms of mental aberration ; was then treated several months for a retroverted and inflamed uterus, without mental improvement ; severe pain through right eye extending to occiput and nose ; restlessness ; cold feet ; mahogany-colored and large papular eruption upon face, particularly large in region of malar bone ; sleepless and nervous and very troublesome ; retroversion, with swollen uterus ; finally violent, soils bed with feces and urine ; furious ; sings loud and continuously, with laughter ; no sleep for five days ; thirst ; suddenly springs from bed destroying whatever she could get hold of, this was done so quickly that she could not be prevented. θ Insanity.

SENSORIUM [2]

Vertigo : falls to ground without losing consciousness ; malaise, belching, nausea, bloating of stomach, gagging and efforts to vomit, with vomiting of food ; after breakfast, with a bad taste in mouth ; when fixing sight on any object, with headache, severe pain in cerebellum, accompanied by incomplete erection of penis, and formication in soft palate.

INNER HEAD [3]

Headache, as if a large quantity of cold water were poured on head, and body, > by pressure and rubbing head against pillow ; great distress in cardiac region.

Migraine ; cannot open eyes ; tendency of head to incline backward.

Frontal headache, pain in vertex and parietal bones ; > by pressure and fresh air.

Compressive headache, with lachrymation and heaviness of upper lids.

Intense headache with restlessness, compelling to move from place to place.

Pain flies to forehead and occiput, with photophobia.

Neuralgia in temples.

When waking in morning, headache as if head were knocked, < to 9 A. M., affecting throat and neck ; stiffness of neck.

Intense headache, as if thousands of needles were pricking into brain.

Severe headache, < by touch.

Pain in occiput as if struck with a hammer, extending to temples.

Burning, scorching heat in occiput ; pricking and itching over whole body ; convulsive trembling of body ; convulsions, paralysis, complete retention of urine and feces. θ Meningitis cerebro-spinalis.

SIGHT AND EYES [5]

Right pupil much dilated.

Feeling of a hair in left eye, which pricked it ; pricking made her rub it ; < on waking. θ Chronic opacity of cornea.

UPPER FACE [8]

Pain in angles of inferior maxilla, so severe as to think he is going crazy.

Pain in inferior maxilla, as if all teeth were going to fall out ; neither cold nor heat relieves.

Pain in direction of right inferior maxillary nerve, with a tickling sensation in stomach.

TEETH AND GUMS [10]

Great dryness of mouth and teeth.

PALATE AND THROAT [13]

Tonsillitis ; high fever, delirium, red face, tonsils so swollen, suffocation was feared.

Tonsils greatly swollen, membrane covering both, also uvula ; neck much swollen, excessive fetor oris, high fever and cerebral congestion. θ Diphtheria.

High fever, delirium, vomiting, great prostration ; throat swollen externally on both sides, internally entire fauces red, both tonsils covered by a firm membrane, color of pearl ; both sides equally affected ; offensive odor from mouth. θ Diphtheria.

Hot, fiery-red face, pungent heat of surface of body, drowsy with starting in sleep, throat swollen internally, both tonsils slightly covered with membrane, distinct odor of diphtheria.

Tonsils much swollen and well covered with membrane ; violent onset of disease ; high fever ; tendency to vomit. θ Diphtheria.

High fever and delirium for two nights ; throat swollen externally and both tonsils covered by a yellowish membrane ; fetor oris. θ Diphtheria.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

Loss of appetite, intense thirst ; general prostration ; vomiting after eating and getting out of bed ; craving for raw food. θ Disorders of pregnancy.

Opium habit.

SCROBICULUM AND STOMACH [17]

Gastric disturbance ; mouth dry ; gums bleed ; tongue ulcerated ; throat sore, swollen, inflamed, constricted ; great thirst ; flat, bad taste ; appetite lost, with anguish, nausea and vomiting.

HYPOCHONDRIA [18]

Hepatic region painful to touch.

Severe burning pain in cancer of liver (relieved).

ABDOMEN AND LOINS [19]

Sharp pain in umbilical region ; violent burning in abdomen and rectum ; stools profuse, dark, fetid, bloody, with violent urging ; constipation.

STOOLS AND RECTUM [20]

Constipation.

Stools three or four times daily, very dark, fetid, partly formed, containing much mucus, expelled with difficulty and followed by smarting and burning in anus, but no tenesmus ; stools occur immediately on having head washed.

Nausea and vomiting ; diarrhœa ; pain and tenderness in bowels ; constant thirst ; tongue red ; pulse 140 ; position on back, limbs flexed ; sleepless and restless ; inflammation of bowels, probably caused by eating baked beans.

Fainting, sinking, chill ; great nervousness ; vomiting ; purging ; severe cramps in bowels and pain in bladder ; pulse weak, 100 ; no thirst ; tongue dark as if stained with nitrate of silver ; excruciating pain in bowels, < at night ; evacuations frequent, eight to ten every night, and four or five by day ; frequent and painful micturition, patient seemed unable to locate pain or to distinguish whether it was < in bladder or bowels ; stools thin and brown, with very little odor ; great restlessness ; desire to change position or to get out of bed and walk floor ; face pale and haggard, with perceptible diminution of flesh and strength from day to day. θ After injecting nitrate of silver for gonorrhœa.

Headache, pain in back and limbs ; tenderness in region of liver and bowels ; pulse 96 ; tongue brownish and dry ; bilious diarrhœa ; fifteen evacuations, not painful, in twenty-four hours, over half of these at night ; stools dark-brown and thin, with some lumps of feces of same color ; abdomen sore ; no nausea, but disgust of food.

Weakness of sphincter ani, feces appeared to be natural but passed as fast as accumulated.

URINARY ORGANS [21]

Diabetes ; profound grief and anxiety ; great prostration and pain as if whole body were bruised ; loss of memory and dimness of sight ; constant craving for raw articles ; intense thirst ; disgust for meat and general wasting away ; constipation ; polyuria, with violent pains in lumbar region and paralysis of lower extremities ; miliary eruptions and furuncles.

Involuntary emission of urine when coughing, laughing, or making any effort whatever.

Pain in region of bladder ; urination frequent, very painful ; extremely nervous ; could get no relief in any position ; pulse somewhat quickened from pain ; tongue only slightly coated ; all symptoms < at night ; sleep disturbed.

Cystitis, with high fever, gastric derangement, excruciating pains, and impossibility to pass a drop of urine ; bladder seems swollen and hard ; great tenesmus from spasmodic action, debilitating patient, who passes only by drops a dark-red, brown, fetid urine, with gravel-like sediment.

Urine hot, thick, much sediment ; difficult micturition, incontinence, and pain in kidneys. θ Septic diseases.

MALE SEXUAL ORGANS [22]

Extreme sexual excitement, lasciviousness, almost to insanity.

Onanism, followed by prostatic ailments and hypochondriasis.

Seminal emissions after onanism ; imbecility, stupid laughter, progressive wasting.

Gonorrhœa ; five different injections, producing great irritation in urethra, particularly when urinating, with smarting, unbearable pains ; redness on tip and edges of tongue, anorexia, dyspepsia and pyrosis, flatulence and stubborn constipation ; emaciation in face, eyes sunken and without expression ; dizziness when moving, dyspnœa, and alarming palpitation ; loss of memory so great, he failed to recognize persons with whom he was intimately acquainted ; little perception, inertia and weakness for any mental labor ; full of deep sadness, shy, shuns his friends ; nervous agitation, restlessness, inability to find a comfortable position ; if sleep was obtained, it only lasted for three or four hours ; pains ; getting weaker ; felt a general burning, more in palms and soles, with shaking, twitching and incessant movement of lower extremities, especially when quiet ; gonorrhœa, though not so profuse, stains shirt a light yellow ; seminal emissions two or three times a week ; want of appetite.

FEMALE SEXUAL ORGANS [23]

Extreme sexual excitement ; menses too early and profuse ; pains and spasms of uterus ; pruritus vulvæ ; leucorrhœa.

Violent nymphomania ; could not suppress lascivious inclination ; < from sexual intercourse ; has suffered since her twentieth year ; woman, æt. 45.

Nymphomania ; reflex chorea ; hyperemia and hyperesthesia of sexual organs.

Fibrous tumors of uterus, with bearing-down pains.

Displacement of uterus, with retention of urine and difficult defecation.

Sensation of great weight, with burning in hypogastrium and uterus, as if there were not sufficient space, with upward pressure.

Pruritus vulvæ ; frequent hemorrhages ; pale face, constant fatigue.

Profuse menstruation accompanied by frequent erotic spasms ; crossness, ennui, and deep dissatisfaction ; catamenia too early, pain in lumbar region as soon as menses commence and ceasing with it ; great pruritus in vulva after menses ; hysteria.

After a fall down stairs complains of pain in lower part of abdomen and hips ; very sensitive to manipulation, some hardness and swelling in hypogastric region and in uterus, which was seat of burning, crampy pains, < by every movement ; sanguineous leucorrhœa, constant desire to pass water, which was clear but difficult to void, falling drop by drop, with burning pain ; precordial anguish, sadness, weeping and fear of death (Conium improved, Tarentula cured). θ Uterine neuralgia.

Strong bearing-down pelvic pains for nearly a week previous to catamenia ; severe backache extending to hypogastric region ; wearying fidgetiness of legs, pains felt more from knees to feet, compelling patient to move about, > by riding horseback ; pains < as menses approach, severest at greatest flow, violent enough to produce convulsive movements ; chorealike restlessness, twitching and trembling of muscles, which worked painfully from side to side ; draws herself together, legs close to abdomen and head bent forward, hands clutching at bedclothes, immediately afterward seizing something else ; motion of inferior extremities almost incessant ; hands and feet cold and moist ; pains and spasms kept pace with menstrual flow, increasing or decreasing with it ; menses usually regular except for last four months, when they were delayed, owing to a slight sanguineous intermenstrual discharge, lasting two days and generally appearing at fifteenth day, which was painless ; flow nearly right in quantity, light-colored and with small dark clots when patient was recumbent, darker and more profuse when rising to chamber ; on first day usually a slight frontal headache, increasing second day to a violent, throbbing pain, < from light and motion ; during headache exacerbation, a remission of pelvic pains, latter reappearing soon with original force, but not remaining so long ; on third day a brief relief, followed by a return of old pains, lasting a shorter time ; meantime urinary tenesmus, nausea, and bad taste in mouth ; occasionally globus hystericus and dry hacking cough ; with convalescence great weakness and shooting, grasping pains at heart with occasional interruption of its rhythm, and with increased action ; preceding and following menses, yellowish leucorrhœa ; in morning, hawking up brown mucus, often tinged with blood ; breathing short, painful ; occasionally, at long intervals, a sudden waking from dreamless sleep, under a feeling of suffocation ; violent palpitation and acute pains through heart, compelling upright position ; pulse regular, quick, irritable ; right heart-ventricle slightly dilated ; infraclavicular pain in right side of chest, penetrating to back, so as to catch breath ; since childhood has wanted sand, cuttlefish, ashes, etc., highly spiced food, cigarettes ; > during warm weather, when outdoors ; < during cold. θ Dysmenorrhœa.

Engorgement of cervix uteri, with granulations, extending to vagina, whose mucous membrane was highly injected ; violent convulsions of whole body during rest.

Chronic vaginitis, granulations and excrescences in vagina and neck of uterus ; cancerous ulcer on os destroyed its left lateral part ; induration of neck and body of uterus ; flushes of heat to face, perspiration, congestion to head, menorrhagia ; severe pains in region of sacrum, extending to hips and terminating in uterus ; menstruation lasted twelve to fifteen days, followed by pressive, shooting pains in uterus and a fetid, bloody discharge ; nausea, anorexia, great thirst, slow and difficult digestion, obstinate constipation, general malaise ; at 2 A. M., some days after, severe, violent, tearing pains in uterus, extending to sacrum, and along vertebral column, with rigidity of trunk and convulsive movements in head and legs ; icy coldness, chattering teeth, trembling, anxiety and uneasiness ; small contracted pulse, oppression of chest, dryness of mouth without thirst, and pale face.

Burning smarting leucorrhœa and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed, or by least pressure.

Leucorrhœa : alternating with bloody discharge ; following hemorrhage, with great weakness.

Expulsion of gas from vagina.

Sensation of motion in uterus, like a fetus ; singing, like a tea-kettle in left ear ; obstinate constipation ; stoppage of urine, which is high-colored, with red sediment, pain in region of kidneys ; palpitation ; sensation of something crawling up legs, under skin, from feet till it reaches uterus, causing great sexual desire, intense pruritus and rubbing, which it is impossible to resist, makes her almost crazy. θ Pruritus vulvæ.

Intense, unbearable pruritus vulvæ, extending into vagina, < at night, with dryness and heat of parts ; white, thin leucorrhœa ; thick white sediment in urine ; pain in right side of abdomen ; nausea ; accumulation of mucus in throat ; mouth parched and dry ; thirst often and for large quantities ; very restless at night. θ Pruritus vulvæ.

PREGNANCY. PARTURITION. LACTATION [24]

Loss of appetite ; intense thirst ; general prostration ; vomiting after eating, and getting out of bed ; craving raw food. θ Disorders of pregnancy.

INNER CHEST AND LUNGS [28]

Great oppression ; panting perspiration.

Chronic suffocative catarrh.

HEART, PULSE AND CIRCULATION [29]

Precordial anxiety, tumultuous beating of heart.

Murmurs and palpitation ; alternate acceleration and suspension of movements of heart.

Trembling and thumping of heart as from fright.

Precordial anguish ; movements of heart not felt ; suffocation.

Constant want of air ; heart suddenly ceases to beat and patient fears to die.

Sensation as if heart turned and twisted around, with pain in chest and general perspiration.

Pain in heart as if squeezed or compressed ; also in aorta, under left clavicle and in carotids, with violent throbbing of heart and arteries ; rheumatic pains in chest extending to umbilical region.

Angina pectoris.

Nervous spells with pain in left ovary, pain seems to affect her heart and she becomes unconscious, seems to stop breathing ; as spell comes on again she begins to breathe short and to call for more air ; pulls her dress away from her heart ; gasping for air ; pulse intermits, weak and slow ; many times she is reported dying.

OUTER CHEST [30]

Brown-colored mole about the size of a grain of wheat on back of neck ; burning, no inflammation ; when touching it complains of needles sticking in it.

Carbuncle as large around at its base as a silver dollar, apex studded with small openings on side of chest ; no pus discharging ; intense burning and stinging extending to mamma and down arm ; had not slept for fortyeight hours.

NECK AND BACK [31]

Abscess in back of neck, burning, excruciating pain, completely banished sleep for six or seven nights ; fever, with great thirst and prostration. θ Anthrax.

Anthrax in interscapular region, with severe burning pain ; unable to sleep from excessive pain.

Anthrax in back of neck ; local applications, first emollient, then caustic, at last knife was resorted to with stimulants internally, and hydrate of chloral and morphine to relieve burning, agonizing pain, all to no effect ; muscular and cellular tissues destroyed from neck to waist, and from shoulder to shoulder, leaving a cavity about six inches long and four wide, at bottom of which several dorsal vertebræ were plainly visible ; infiltration of surrounding tissues ; quotidian fever and diarrhœa ; on third day after Tarantula Cub. line of demarcation was formed, and two days afterward surrounding mortified tissues came off ; with continuance of this remedy and an occasional dose of Sulphur, patient was entirely cured in seven weeks.

Irritable spine ; excessive hyperesthesia, a slight touch along spine provokes spasmodic pain in chest and indescribable distress in cardiac region, at times heart feels as if twisted (spiral fibres) ; intense headache, as if thousands of needles were pricking into brain ; body burned all over ; trembled so she could hardly talk ; headache > by rubbing head against pillow, termini of nerves become so irritated that some kind of friction is resorted to in order to obtain relief.

Multiple sclerosis in consequence of fright and rheumatism ; trembling commenced in left hand, always < by mental trouble ; after fright it affected all limbs ; intense pain during night prevents her rest and sleep, and an itching and crawling of left leg make her rise and walk about ; bathing < pain, but fresh air >, even at night ; intelligence and memory considerably diminished ; trembling and pricking prevent from doing any fine work ; motility and sensibility unaltered ; neither paralysis, anesthesia nor hyperesthesia ; head trembles as much as left hand and foot, and a slight tremor could be observed on tongue when opening mouth ; no appetite, chronic constipation ; since menopause acne in face ; slight hyperemia of retina.

Difficulty of moving legs, they do not obey will ; weakness of legs. θ Tabes dorsalis.

Burning, smarting leucorrhœa, and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed or by least pressure. θ Coccygodynia after confinement.

LOWER LIMBS [33]

Uneasiness in legs with necessity of constantly moving them.

Weakness of legs not allowing feet when walking to be placed squarely on ground ; difficult walking ; inability to kneel down ; difficulty of moving legs, they do not obey will.

Large hard abscess in right thigh, exceedingly painful and inflamed, no fever, glands in groin swollen, indurated and painful.

LIMBS IN GENERAL [34]

Rheumatism checked by putting extremities in cold water, panting respiration, anxiety, cramps in heart or twisting pains ; pulse full, hard, frequent ; aorta feels full, tense, stretched, with stitching pains ; morning and night cold extremities.

REST. POSITION. MOTION [35]

Cannot keep quiet in any position.

Lying : hysteria > ; on back limbs flexed.

Sitting or lying : uneasiness in coccyx <.

Standing : > uneasiness in coccyx.

Motion : > headache ; dizziness ; < crampy pains in uterus ; < frontal headache ; < uneasiness in coccyx ; constant, of hands, feet and head ; can better run than walk.

Walking : difficult from weakness of legs.

Riding horseback : > pains in legs.

NERVES [36]

Great restlessness and agitation, particularly of inferior extremities ; has to change position ; need of constantly moving hands, feet and head.

Trembling of body ; limbs agitated.

St. Vitus' dance.

Great restlessness, could not keep quiet anywhere or in any position ; felt that he must keep in motion though walking aggravated all symptoms.

Somnambulism ; frequent desire to urinate ; clear urine ; quantity lessened until secretion ceased ; much excited at night ; convulsions, a kind of St. Vitus' dance, with inclination to bite and tear everything that comes near him ; when fit ceases, falls asleep, on awaking is unconscious of what has happened ; has not voided urine since fifteen days ; exalted state of mind ; could not speak, but could write ; falls every day into a somnambulistic kind of sleep, the exact time of which he states every morning ; this state continued several months.

Trembling of body ; all limbs agitated ; convulsive hysteria and chorea, with excessive hyperesthesia.

Excessive hyperesthesia ; least excitement irritates.

Hysteria of two months' standing in a girl æt. 11, particularly characterized by attacks of spasmus glottidis, occurring about every five minutes, and accompanied by a whistling tone.

Spasmodic, hysterical symptoms from uterine irritation.

Great disorder of motion, convulsive form ; necessity for continual motion ; fright, terror, fear of speedy death, with vertigo and precordial anguish, with intolerance of pressure and touch, and periodicity. θ Hysteria.

Choreic restlessness of limbs ; music has a soothing influence.

Suffers on account of deep grief ; severe convulsions at 8.30, exactly, lasting about two hours ; they are preceded by an intense chill all over, beginning with short chills on back and extremities, lasting about half an hour, and followed immediately by convulsions, with severe involuntary muscular contractions, beginning in upper or lower extremities and extending to whole body ; consciousness retained during paroxysms, but lost power of co-ordination. θ Intermittent nervous affection.

For several months spasms of an extraordinary character, increasing in intensity and frequency ; attacks preceded by spells of gaping and irregular breathing, then muscular contortions of all kinds, fixed look ; followed by wild shrieks, long-continued coma, occasionally hysterical outbursts of laughing or crying ; paroxysms most severe at menses.

A few days after getting out of bed after fourth confinement, violent convulsions of whole body during rest, necessity of moving and walking up and down room ; on attempting to sit or lie down, violent shaking of head and limbs, with bruised pains all over and dizziness, compelling her to get up again and walk room ; was unable to sleep for nine days, dreading convulsions every time she attempted to sit down ; want of appetite, great anxiety and malaise ; fear of death ; cervix uteri engorged, with granulations extending to vagina, mucous membrane of which was highly injected.

A boy, æt. 14, looks thoughtful and melancholy, shuns his companions and stays most of the time in most retired part of house ; lost his appetite, in a few days was taken with chorea ; head drawn downward, afraid to look at strangers, idiotic expression of face, great loss of flesh, dirty and ashy color of skin, impetigo around lips, choreic movements of head, movements of right arm alternating with those of head ; all movements ceased in bed ; involuntary micturition.

Inordinate and irresistible movements, with alternate relaxation and contraction of muscles of left hand and foot. θ Chorea.

In constant motion ; can better run than walk ; speech impeded ; feels best in bed. θ Chorea.

Constant irregular movements of right arm and leg ; is unable to walk or feed herself ; speech difficult, tongue heavy ; frequent epistaxis ; starting during sleep which is light ; great thirst ; constipation ; good appetite ; changeable mood ; any observation or steady look was enough to make her cry ; dragged leg when trying to walk, steadily getting worse. θ Chorea.

Child can retain its seat with difficulty, arms tossed from side to side, legs cannot be controlled ; walking impossible ; head turned violently from side to side ; eyes rotated and eyelids almost in constant motion ; frequent hideous grimaces ; violent contortions of trunk ; every effort to take food causes involuntary movements of tongue, causing her to drop from mouth two-thirds of what she has taken ; movements not so violent at night, but cannot sleep more than a few movements at a time. θ Chorea.

Chorea of superior extremities without any appreciable cause ; head thrown with violence in different directions ; nervous contractions in muscles of face ; right leg thrown about with such violence, could hardly keep from falling.

Disorderly and irregular muscular movements ; limited to left arm or leg or to one of these parts ; very seldom left arm and right leg ; with grimaces of mouth.

Inordinate, irregular movements of hands and feet, which subside almost entirely on hearing notes of hornpipe.

Chronic irregular movements of superior extremities, also head ; was thrown with violence in different directions ; contraction of muscles of face ; legs somewhat affected.

Head, right arm and hand affected, head drawn downward ; involuntary micturition.

Falling down unconsciously without any warning, general rigidity, grinding of teeth, bites her tongue, squinting of eyes which remain open during attack, fit lasting two or three minutes, followed by dejection and dizziness for twenty-four hours ; attacks occuring every eight, fifteen or twenty days. θ Epilepsy.

Dizziness before fit ; great precordial anguish.

For five years peculiar fits, which begin with a sensation as of a cloud before left eye, gradually increasing to complete blindness on that side ; then follows a numbness of left arm and right leg, gradually increasing Until former becomes powerless ; after this, drowsiness, followed by a deep sleep, from which he awakes with a throbbing frontal headache and blindness in left eye, these two symptoms gradually disappear together ; urine normal ; fundus oculi normal ; longest interval between attacks was five months ; of late, attacks have been coming every week. θ Epileptoid.

During attack squinting of eyes which remain open ; after dizziness and dejection for twenty-four hours. θ Epilepsy.

Paralysis agitans caused by great mental distress, commencing with pain in arms and a continual itching and trembling in left leg, with inability to remain in bed ; had to walk floor ; trembling extended to head and tongue ; appetite lost ; sleepless nights.

Intelligence and memory diminished ; trembling ; pricking, and peculiar sensation in phalanges of hands and feet, unable to perform any fine work ; motility and sensibility unaltered, neither paralysis, anesthesia nor hyperesthesia ; head trembled just as left foot and arm, and a slight tremor could be perceived on tongue when she opened her mouth ; could only sleep for a few minutes, pains woke her in spite of her sleepiness ; no appetite ; chronic constipation, since menopause acne in face ; a slight hyperemia of retina, excess of uric acid in urine. θ Paralysis agitans.

Paralysis ; general formication beginning with a severe pain in occiput, followed by numbness of trunk and limbs, and complete loss of motory power.

SLEEP [37]

Sleeplessness.

TIME [38]

Morning : to 9 A. M. headache < ; hawking of brown mucus ; cold extremities.

Night : pain in bladder < ; pruritus vulvæ < ; restlessness ; cold extremities ; somnambulism ; sleeplessness.

TEMPERATURE AND WEATHER [39]

Fresh air : > headache ; > pains of tabes dorsalis.

Warm weather : dysmenorrhœa >.

FEVER [40]

Constant chill and coldness during four days.

Scorching heat in whole body alternating with icy coldness.

Scorching heat of skin which is of a scarlet color.

Intermittent febrile attacks ; during heat continued coldness of feet. θ Hysteria.

Intermittent fever of nervous hysterical women.

General emaciation particularly of face, icteric color ; tongue coated yellowish, want of appetite, no thirst, dryness of mouth ; constant pain in hepatic region, < before paroxysms, with nausea and vomiting ; severe headache, precordial anxiety, sadness, taciturnity, despair of recovery ; cold stage intense, with shaking ; blue color of nails, lasting about two hours ; gastric symptoms < at onset of heat ; fever scorching, no thirst ; great dryness of mouth ; hot stage lasted five to six hours, during which time eyes were shut and she lay in a comatose condition ; sweat lasted three to four hours, followed by great debility and prostration. θ Ague.

Chills and fever with choreic convulsions ; shakes almost continuously with involuntary movements in limbs, abdomen, chest, trunk and face, < in left side ; could not speak a word, tongue and pharynx being implicated ; after a severe scolding, or punishment.

Toxemic fevers of a typhoid or intermittent form ; chilliness or burning heat, chilliness predominating.

ATTACKS, PERIODICITY [41]

Daily at same hour : attacks of hystero-mania.

LOCALITY AND DIRECTION [42]

Left : pain in ovary ; feeling of a hair in eye ; singing in ear ; pain under clavicle ; trembling begins in hand ; itching and drawing in leg ; alternate relaxation and contraction of muscles of hand and foot ; chorea of arm and leg ; as of a cloud before eye, blindness ; numbness of arm ; trembling in leg.

Right : pain through eye to occiput and nose ; pupil dilated ; pain in maxillary nerve ; heart ventricle dilated ; infraclavicular pain ; pain in abdomen ; abscess in thigh ; glands in groin swollen ; choreic movements of arm alternate with those of head ; irregular movements of arm and leg ; leg thrown about with violence ; numbness of leg.

SENSATIONS [43]

As if head were knocked in morning ; as if thousands of needles were pricking into brain ; as if occiput were struck with a hammer ; as of a hair in left eye ; as if lower teeth were going to fall out ; as if body were bruised ; as if there were not sufficient space in hypogastrium ; painful uneasiness in coccyx ; motion in uterus as of a fetus ; singing like a tea-kettle in left ear ; as of something crawling up legs under skin from feet to uterus ; as if heart turned and twisted around ; heart as if squeezed or compressed ; as of needles sticking into mole on neck when touched ; as of a cloud before left eye ; as of insects creeping and crawling.

Pain : in vertex and parietal bones ; in angles of inferior maxilla ; in right inferior maxillary nerve ; in bladder ; in back and limbs ; in uterus ; under right clavicle to back ; in right side of abdomen.

Excruciating pain : in bowels ; in bladder ; in abscess on back of neck.

Neuralgic pain : in temples ; in left ovary affecting heart.

Severe pain : through right eye to occiput ; in cerebellum.

Sharp pain : in umbilical region.

Twisting pains : in heart.

Tearing : in uterus ; to sacrum.

Stitching pains : in aorta.

Pricking : over whole body.

Shooting pains : at heart ; in uterus after menses.

Stinging : in carbuncle on side of chest.

Burning : in occiput ; in cancer of liver ; in abdomen and rectum ; in palms and soles ; in hypogastrium and uterus ; leucorrhœa ; in carbuncle on side of chest ; in abscess on back of neck ; in anthrax between shoulder blades ; all over body, irritable spine ; of skin.

Smarting : in anus ; urethra ; leucorrhœa.

Grasping pain : at heart.

Constriction : in throat.

Cramps : in bowels ; in heart.

Rheumatic pains : in chest, extending to umbilical region.

Pressive pains : in uterus after menses.

Bearing-down pains : in uterus.

Heaviness : in lids ; in hypogastrium and uterus.

Uneasiness : in legs.

Fidgety feeling : in legs.

Trembling : in limbs.

Tickling : in stomach.

Crawling : on left leg.

Numbness : of trunk and limbs.

Formication : in soft palate ; with paralysis.

Heat : in occiput ; in vagina ; of skin ; scorching.

Itching : on left leg ; of skin.

TISSUES [44]

Termini of nerves become so irritated that some kind of friction is necessary in order to obtain relief ; must move hands or legs ; must rub head against something ; must roll something between fingers ; must put fingers in mouth.

Weakness of all limbs ; rheumatic pains ; restlessness ; formication ; paralysis ; spasmodic paralytic affections ; neuralgia ; rheumatism ; nervous diseases where functions of vagi are more or less disturbed.

Anthrax ; carbuncles ; atrocious pains.

Syphilitic buboes, painful boils, all kinds of abscesses where pain or inflammation predominates.

TOUCH. PASSIVE MOTION. INJURIES [45]

Music : hysteria > ; causes excitement.

Touch : headache < ; hepatic region painful ; pain in mole on neck, as of needles ; along spine provokes spasmodic pain in chest and distress in cardiac region.

Rubbing : head against pillow > headache.

Pressure : headache > ; uneasiness in coccyx.

After a fall down stairs : uterine neuralgia.

SKIN [46]

Terrible pruritus, a sensation as of insects creeping and crawling.

Outer parts feel as if worms or insects were boring and crawling, no relief from cold or heat ; continual irritation and titillation.

Malignant ulcers and unhealthy skin ; anthrax and gangrene.

Itching : burning ; formication ; ecchymosed spots ; painless vesicular and especially pustular eruptions.

STAGE OF LIFE, CONSTITUTION [47]

Nervous, hysterical patients, subject to choreic affections.

Foxy, mischievous and destructive tendency.

Boy, æt. 2 ; diphtheria.

Child, æt. 3 ; diphtheria.

Boy, æt. 5 ; diphtheria.

Boy, æt. 5, light complexion, nervous temperament ; diphtheria.

Girl, æt. 6, stout ; diphtheria.

Girl, æt. 6, delicate ; diphtheria.

Girl, æt. 6 ; chorea.

Girl, æt. 7, nervo-lymphatic temperament ; chorea.

Girl, æt. 8, bright, healthy, intelligent looking ; weakness of sphincter ani.

Boy, æt. 8, delicate, scrofulous, two children in same family died of the disease ; diphtheria.

Girl, æt. 9 ; tonsillitis.

Boy, æt. 9, suffering a year ; chorea.

Girl, æt. 9, nervous temperament ; chorea.

Girl, æt. 9, fleshy, lymphatic temperament, anemia, suffering four months ; chorea.

Girl, æt. 10 ; diphtheria.

Boy, æt. 11, suffering five years ; epileptoid.

Girl, æt. 11, suffering two months ; chorea.

Girl, æt. 11 ; severe burning in mole on neck.

Girl, æt. 11, thin, delicate, nervous ; intermittent fever and choreic convulsions.

Girl, æt. 12, weak constitution, belongs to poor class ; chorea.

Girl, æt. 14, suffering four months ; hystero-mania.

Boy, æt. 14 ; chorea.

Young lady, æt. 18, dark complexion, slender, delicate, consumptive ; diarrhœa, etc.

Miss B., æt. 19, nervo-lymphatic temperament, after a fright ; chorea.

Man, æt. 21, dark complexion, large, strong ; diarrhœa, etc.

Girl, æt. 24, tall, slender, lymphatic, nervous temperament, with scanty menstruation, irritable mood ; epilepsy and hysteria.

Negro, æt. 26 ; abscess in thigh.

Woman, æt. 27 ; insanity.

Miss M., æt. 27, confirmed dyspeptic for years, a musical amateur, suffering with myopia, amblyopia and incipient cataract, while in a highly nervous condition from overstudy, was operated on to remove opacity of lens of right eye by absorption ; insanity.

Mrs. ---, æt. 30, affected two years ; insanity.

Woman, æt. 32, single, blonde, blue eyes, cheerful, weak and emaciated frame, suffering ten years ; dysmenorrhœa.

Lady, æt. 32, widow, blonde, lymphatic temperament ; uterine neuralgia.

Man, æt. 32, nervous temperament, gastro-hepatic diathesis, after great grief ; intermittent nervous affections.

Man, æt. 34, nervo-sanguineous temperament, gonorrhœa.

Madam B., æt. 36, lymphatic temperament, after fourth confinement ; spasms.

Unmarried lady, æt. 36, slim, bilious, nervous, of irritable character, and scanty menstruation, suffering since 18 years of age ; attacks of chorea.

Woman, æt. 36 ; carbuncle.

Lady, æt. 40, blonde ; urinary difficulty.

Mrs. C., æt. 40 ; irritable spine.

Mrs. ---, æt. 40 ; affection of heart.

Mrs. R., sanguine temperament, full habit, suffering since last confinement, four years ago ; coccygodynia.

Lady, æt. 45, good constitution, profuse menstruation, suffering since 20 years of age ; nymphomania.

Widow, æt. about 45, suffering sixteen years ; pruritus vulvæ.

Mrs. F., æt. 48, sanguineous constitution, mother of seven children ; uterine affection.

Man, æt. 50, dark complexion ; diarrhœa.

Woman, æt. 51, past climacteric, thin, spare body, delicate constitution ; anthrax.

Mrs. K., æt. 61, strong constitution, menstruation ceased at age of 52 ; paralysis agitans.

Mrs. S., æt. 68, strong constitution, suffering eighteen months ; ague.

Man, æt. 72, good constitution ; abscess back of neck.

Woman, æt. 84, delicate constitution ; anthrax back of neck.

RELATIONS [48]

Compare Laches ., which is said to be antidotal.